Neonatal hypoxia a little serious?

summary

Neonatal cerebral hypoxia refers to the hypoxic-ischemic damage of brain caused by perinatal asphyxia. There were a series of clinical manifestations of encephalopathy. This disease is not only a serious threat to the lives of newborns, but also one of the most common causes of disabled children after neonatal period. The main causes of neonatal cerebral hypoxia are maternal factors, placental abnormalities, fetal factors, umbilical cord blood block, delivery process factors, neonatal diseases and so on. Next, I'll tell you something.

Neonatal hypoxia a little serious?

Mild: hyperawakefulness, irritability, excitement and high excitability (shaking, tremor), normal muscle tension, active hugging reflex, normal sucking reflex, stable breathing, no convulsion. Most of the symptoms disappeared within 3 days, and the prognosis was good.

Moderate: depression, drowsiness or light coma, hypotonia, 50% of the cases had convulsion, apnea and weak sucking reflex. The decrease of muscle tension in the upper limb is more serious than that in the lower limb in term infants, suggesting that the lesions involve the parasagittal sinus area. If the muscle tension of the lower limbs is lower than that of the upper limbs, it indicates that the lesion is periventricular leukomalacia. If the symptoms last for more than 7-10 days, there may be sequelae.

Severe: the child is in a coma state, with extremely low muscle tension, weakness, disappearance of hugging reflex and tendon reflex, unequal pupil size, poor response to light, protrusion of anterior fontanel, frequent convulsions, irregular or apnea breathing, and even respiratory failure. The mortality of severe children is high, and the survivors often have sequelae.

matters needing attention

Should pay attention to keep warm, overheating easy to make the baby water loss, dehydration heat; Hypothermia may cause hypothermia or neonatal scleredema. In winter, the ideal temperature of baby's room should be 18-22 degrees. If there is no condition, put a hot water bag around the baby's swaddling clothes. The water temperature is 40-60 degrees. Change the water once every 1-2 hours to keep the baby's temperature between 36-37 degrees. We should also maintain a certain amount of air humidity.